1036979
Registered Number: 12573
- Place of Death: County of Cook, Registration District No. 3104. City: Chicago, Primary District No. 3104. Address: 1107 S. Robey St. Ward: 28. Length of Residence in city or town where death occurred 30 years. How long in U. S. if foreign birth: 30 years.
- Full Name: Elizabeth P. Jordan. Residence: 1107 S. Robey St.
- Sex: Male
- Color: White
- Marriage Status: Widow. If married, widowed, or divorced Husband of James Jordan
- Date of Birth: February 28, 1847
- Age: 84 Years 1 Month 2 Days
- Trade, profession, or particular kind of work: at home
- Industry or business in which was done:
- Date deceased last worked at this occupation:
- Total time (years) spent in this occupation:
- Birthplace: London, England
- Name of Father: Joseph Steward
- Birthplace of Father: London, England
- Maiden Name of Mother: Elizabeth
- Birthplace of Mother: London, England
- Informant: James O. Jordan, 1107 S. Robey St.
- Place of Burial, Cremation: Waldheim Location: Forest Park County: Cook State: Illinois
- Date of Burial: 4/25/1931
- Undertaker: W. A. Haggard Address: 214 So. Western
- Medical Certificate of Death Date of Death: April 22, 1931
- I hereby certify, that I attended deceased from January 1, 1931 to April 22, 1931. I saw her last alive on March 24, 1931; death is said to have occurred on the date stated above at 7 P.M. The principal cause of death and related causes of importance were as follows: Carcinoma of the Right Breast, Date of onset: Do not know. Other contributory causes of importance: None
- Where was disease contacted, if not at place of death: Do not Know. Was and operation performed: No. Was there an autopsy: No. What test confirmed diagnosis: Clinical only.
- Was the disease in any way related to occupation of deceased: No. Signed: H. H. Merrill, 4754 Washington Blvd. Date: April 24, 1931.
- Filed: 1931 April 24 PM 9:44
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